Nomination Form – North Carolina Music Educators Association

Nominator Contact Information

Name*

First Last

NAfME/NCMEA Member #*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Position/Title*

Phone*

Email*

Enter Email Confirm Email

Nominee Contact Information

Name*

First Last

School or School System*

Position/Title*

Work Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone*

Email*

Enter Email Confirm Email

Please summarize the nominee’s qualifications to support the award criteria:

Statement of nomination to include reasons and evidence for this honor as described in the criteria:*

You may copy text from a separate document and paste into this field.

Brief Bio: summary of the administrator’s experience may include: education, number of years in present position, prior positions, educational institution(s) attended, degrees earned, professional organizations, civic clubs, honors, etc.*

You may copy text from a separate document and paste into this field.

Summary of music/arts activities including any financial support for those activities as described criteria:*

You may copy text from a separate document and paste into this field.

You may provide up to three copies of any pertinent recent article(s) on the nominee.

Drop files here or

If you choose not to upload here, you may submit up to three copies of any pertinent recent article(s) on the nominee via email to:pathall@ncmea.net please put NCMEA Honor Administrator – Last Name of Nominee in the subject or via mail to NCMEA | 883-C Washington St | Raleigh NC 27605

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NCMEA Honor Administrator Award Nomination

Nominator Contact Information

Nominee Contact Information

Please summarize the nominee’s qualifications to support the award criteria: